Individual provider Active NPI

Romulo G Manigbas, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1184999393
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.017697 Issued in IL
Practice address
5757 N Sheridan Rd
Apt 16G
Chicago, IL 60660-4746
Phone
(863) 484-2860
NPI assigned
Mar 21, 2012
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.017697 IL Primary
Physical Therapist 225100000X PT25128 FL

Addresses

Primary practice location

5757 N Sheridan Rd
Apt 16G
Chicago, IL 60660-4746

Mailing address

16089 Poppyseed Cir Unit 2008
Delray Beach, FL 33484-6314
Phone (561) 496-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT25128FLMDPhysical Therapist
070.017697ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Care Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1184999393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16089 POPPYSEED CIR UNIT 2008",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846314",
            "telephone_number": "561-496-7993",
            "fax_number": "561-496-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N SHERIDAN RD",
            "address_2": "APT 16G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604746",
            "telephone_number": "863-484-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGBAS",
        "first_name": "ROMULO",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017697",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.